The two largest providers of HIV care in the U.S. are the U.S. Department of Veterans Affairs (Veterans Administration) and Kaiser Permanente. Both organizations are significantly outperforming the general population in implementing the HIV Care Continuum, which involves 1) testing and diagnosis, 2) linkage to care, 3) retention in care, 4) initiation and continuation of antiretroviral therapy, and 5) achievement of viral suppression. Adherence to the care continuum allows people living with HIV to achieve viral suppression to levels where the virus is undetectable. Such individuals are less likely to transmit the virus than are other infected individuals not receiving medical care.
In a new interview conducted by Kaiser Permanente Institute for Health Policy Senior Health Policy Consultants Brian Raymond and Ben Wheatley, three leaders from the two comprehensive integrated health care systems share insight about how their organizations achieve top-quality HIV care outcomes and their ongoing efforts to identify and close gaps in care. The interview appears in the Winter 2018 edition of The Permanente Journal.
The two interview subjects from VA Patient Care Services/Population Health are Deputy Chief Consultant, Measurement and Reporting Lisa Backus, MD, PhD, and National Public Health Clinical Pharmacy Specialist Pam Belperio, PharmD, BCPS. The third interviewee is Mid-Atlantic Permanente Medical Group Executive Director, Research, Community Benefit, and Medicaid Strategy Michael A. Horberg, MD, MAS, FACP, FIDSA.